El contraste de los modelos de Estado Social de Derecho y de Estado Neoliberal en el sistema general de seguridad social en salud colombiano, a la luz de las teorías de Amartya Sen y Robert Nozick
Thesis
The present work proposes an approach to the systemic crisis of the Colombian health system in terms of the justice theories that underlie its institutional structure. It poses itself as an alternative view to the tendency of attributing the origins of the crisis to the prevalence of the market logics over the guarantee of human rights. It focusses on analysing the characteristics of the Colombian health system concerning their adequacy with the competitive market model and concluding their discrepancies. Then, it proposes a discussion with regards to the theories of justice and state models, that support the legal and constitutional principles upon which the system is based. To finally conclude, based on this inner tension, that the in Colombian health system the models of the social welfare state and the neoliberal state come together, materialized in the principles of solidarity and financial sustainability and grounded in the theories of justice of Amartya Sen and Robert Nozick, respectively; which combination within the same normative and institutional body explains to a great extent most of the structural crisis.
